Dual Supply of Left Anterior Descending Coronary Artery on Coronary Computed Tomographic Angiography Not Recognized on Previous Cardiac Catheterizations

Can J Cardiol. 2017 Apr;33(4):555.e9-555.e11. doi: 10.1016/j.cjca.2016.11.016. Epub 2016 Nov 30.

Abstract

A dual left anterior descending (LAD) artery is an infrequent anomaly of the coronary circulation with rare variations that may cause symptoms. We report a 60-year-old man who underwent multiple percutaneous cardiac catheterizations with stent placements and presented with recurrent angina pectoris. Coronary computed tomographic angiography demonstrated a dual LAD with the long and short LADs originating from the right coronary artery and the left main coronary artery, respectively.

Publication types

  • Case Reports

MeSH terms

  • Cardiac Catheterization / methods*
  • Computed Tomography Angiography / methods*
  • Coronary Angiography / methods*
  • Coronary Circulation
  • Coronary Vessel Anomalies / diagnosis*
  • Coronary Vessels / diagnostic imaging*
  • Coronary Vessels / physiopathology
  • Diagnosis, Differential
  • Electrocardiography
  • Humans
  • Imaging, Three-Dimensional*
  • Male
  • Middle Aged